Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 01422 | HI |
NPI | 1255315834 |
---|---|
Provider Name | Carl Lehman |
First Address | Honolulu, HI 96813-2431 |
Second Address | Honolulu, HI 96813-2431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2005 |
Last Update Date | 27/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
029523 | (05) | HI |
32920 | HMSA/BLUE CROSS (01) | HI |
D36371 | (02) |